Global AIDS Crisis: A Reference Handbook

ABC-CLIO
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Global AIDS Crisis scrutinizes the scourge of HIV and the AIDS virus throughout the world through the eyes of one of the top AIDS researchers in the world. From Botswana and sub-Saharan Africa to Thailand, Romania, and Brazil, an exploration of developing countries with limited access to healthcare and scarce resources reveals how such factors as tourism, international travel, war, and mobility have facilitated the insidious spread of HIV and AIDS.

Candid discussions of sensitive issues such as stigma and its effects on morale and health complement scientific and medical inquiries into the origins of the disease and the development of antiretroviral therapies. An analysis of groundbreaking solutions such as "medication adherence partners," prevention strategies, and current vaccine models adds a glimmer of hope to a seemingly hopeless crisis.

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About the author

Richard G. Marlink, PhD, is senior researcher and executive director of the Harvard AIDS Institute at the Harvard School of Public Health in Boston, MA. Dr. Marlink has developed HIV/AIDS research and education initiatives in Botswana, Brazil, Puerto Rico, Senegal, South Africa, Tanzania, and Thailand.

Alison G Kotin is research publications coordinator at the Harvard AIDS Institute at the Harvard School of Public Health in Boston, MA.

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Additional Information

Publisher
ABC-CLIO
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Published on
Dec 31, 2004
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Pages
283
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ISBN
9781851096558
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Language
English
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Genres
Social Science / Developing & Emerging Countries
Social Science / Sociology / General
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Content Protection
This content is DRM protected.
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Available on Android devices
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Eligible for Family Library

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First published in 1997, this volume examines how, in the last 15 years, HIV/AIDS has become a challenge for public health, public policy and research. Reducing further HIV transmissions as well reducing the personal and social impact of HIV/AIDS requires a wide range of activities developed by a wide range of organizations – the supply of which varies widely between countries, regions and social groups.

The book describes the programmes which seem particularly effective in dealing with HIB/AIDS and sets out to explain the disparities in their distribution. It documents and tries to understand both similarities as well as the variety of national approaches taken to cope with HIV/AIDS in a number of European countries. On the basis of the welfare-mix model, six country studies and an introductory chapter draw particular attention to the different mixes of public policies and private non-profit, community-based activities; the functional mixes between different types of services in the areas of prevention, care, research, control and monitoring, interest representation, fund-raising. The mixes between specialized, so-called "exclusive" HIV/AIDS service organizations and services made available by general, comprehensive, or so-called "inclusive" institutions which provide AIDS-specific programmes among other activities will also be elaborated. The whole range of HIV/AIDS activities, from professional services to self-help, is analysed in a comparative perspective.

The book is based on data from the European Centre / WHO Collaborative Study Managing AIDS. It is a comparative policy study focused on the role of non-profit organizations in public health and welfare policy, covering several thousands of organizations and HIV/AIDS programmes in six European countries.

Unexpected similarities and divergence in AIDS service organizations across Europe were found. The sheer multitude of programmes offered called a surprise to experts in the field, as did remaining conspicuous blank spots or deficiencies in services. Degrees of AIDS policy coherence, prevention efforts, service density and quality, self-help and professionalization, medicalization vs. social integration of HIV/AIDS programmes, sectoral specialization and institutionalization all vary tremendously, as do the efficiency and effectiveness of organizational responses to HIV/AIDS. Interestingly, variations in the supply of activities can hardly be explained by epidemiological patterns and corresponding demand and needs.

AIDS management requires long-term institutional strategies and information which cannot be provided by epidemiological or behavioural analysis alone. An effective struggle against HIV/AIDS also requires institution-building, inter-organizational development and policy-field analysis.

The way we deal with AIDS in Africa will All of them take account of the local cultural determine Africa’s future. The devastation context. But they all have something else in wrought by HIV/AIDS on the continent is so common; they stem from a political will to acute that it has become one of the main fight AIDS, and a recognition that facing up obstacles to development itself. AIDS to the problem is the first step towards c- threatens to unravel whole societies, com- quering it. I am convinced that, given that munities, and economies. In this way, AIDS will, every society can do the same. is not only taking away Africa’s present—it We have seen a growing understanding is taking away Africa’s future. of the inextricable link between prevention This crisis requires an unprecedented and treatment, and a conviction that tre- response. It requires communities, nations, ment can work even in the poorest societies. and regions, the public and the private sector, We have seen AIDS drugs become more international organizations and nongovern- available and affordable in poor countries, mental groups to come together in concerted, and scientific progress promises simplified coordinated action. Only when all these treatment regimes. Above all, we have seen a forces join in a common effort will we be able growing understanding that the key is poli- to expand our fight against the epidemic to cal commitment to providing treatment, decrease risk, vulnerability, and impact. All backed up by community involvement.
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When the San José mine collapsed outside of Copiapó, Chile, in August 2010, it trapped thirty-three miners beneath thousands of feet of rock for a record-breaking sixty-nine days. The entire world watched what transpired above-ground during the grueling and protracted rescue, but the saga of the miners' experiences below the Earth's surface—and the lives that led them there—has never been heard until now.

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